Unknown Individual – Otolaryngology Physician, NPI 1497748792
Otolaryngology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Clackamas Community College, South Douglas Loop Road, Oregon City, Metro, Clackamas County, Oregon, 97045, United States
DOUGLAS, GA 315331068
Phone: (912) 384-2200
Fax: (912) 383-7992
Type: Mailing
Westside Drive, Douglas, Coffee County, Georgia, 31533, United States
DOUGLAS, GA 315330312
Phone: (912) 384-2200
Fax: (912) 383-7992
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $55.
Total Amount is formed as General ($55) + Research ($0) + Ownership ($0) = $55.
Last reported payment date: 2023-03-07 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($55).
Total Amount
$55
General + Research + Ownership
Payments
1
Total payment records
General Amount
$55
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-03-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $55 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 70480 | Ct scan of cranial cavity without contrast | 86 | 83 | $0 |
| 70486 | Ct scan of face without contrast | 83 | 68 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 71 | 62 | $0 |
| 31231 | Diagnostic exam of nasal passages using an endoscope | 40 | 34 | $0 |
| 92567 | Test to assess middle ear function | 35 | 30 | $0 |
Insurance plans in this area (ZIP 31533)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Otolaryngology, Plastic And Reconstructive Surgery | GA | |
| Nurse Practitioner | GA | |
| Physician Assistant | GA | |
| Physical Therapist In Private Practice | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| O T O L A R Y N G O L O G Y | GA | |
| Physician Assistant | GA | |
| Qualified Audiologist | GA |
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